Next Level: Thanks For Being A Loyal Supporter

THE ENDOFNEXT LEVEL?? September, 2017

Dear TNL Family:

After careful consideration and perhaps for selfish reasons, I have decided to move to a region of the U.S. that I have not only come to love over the years but is also closer to family. For those of you who know me well I’m sure you can guess where that may be. This new chapter in my life will be a challenge, but I welcome the opportunities that await me. And perhaps a new TNL will be born in another state very soon.

Considering all the changes that have occurred at TNL over the past two months, many rumors have begun to circulate. So I would like to take this opportunity to finally put them to rest and say that they are absolutely……TRUE. It is with very mixed emotions that I inform you that The Next Level will be closing permanently September 30th, 2017.

Thank You To

We appreciate our patients and staff for these past 10 years, of loyalty and commitment to this clinic. Thank you for trusting us with your physical an occupational therapy needs. It has been a pleasure caring for you!

ur Loyal Patients


I must say that the last 10 years have been an amazing journey and has afforded me the opportunity to meet hundreds of new people and create many friendships that will last a lifetime. It truly has been an honor to be your physical therapist and perhaps provide therapy for your friends and loved ones. I hope I have made as much of an impact on your lives as you have on mine. I will continue to provide therapy for my current active patients through September 15th, 2017 but I am no longer accepting new clients. Should you, your friends or family require physical or occupational therapy in the future, I would be more than happy to make recommendations on a case by case basis. Once the office is closed, your medical records will be stored at a secure offsite facility. Future medical record requests can be sent in writing to: James Silvestri, PT, CEO

The Next Level PRC 610 Deer Cross Court East Madisonville, LA 70447


Missy Hymel and Stephanie Accardo will continue to see patients at Missy’s new practice, Accelerated Hand Solutions, on Asbury Drive in Mandeville. You may call her to schedule appointments at (985) 951- 2457. Thank you for trusting me with your physical and occupational therapy needs throughout my time here inMadisonville. Ithasbeenapleasurecaring foryouand I wish you continued health and happiness in the future.

• Thank You To Our Loyal Patients


James Silvestri PT Owner The Next Level PRC


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